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Hayes R, Dakin F, Smuk M, Paparini S, Apea V, Dewsnap C, Waters L, Anderson J, Orkin CM. Cross-sectional survey of sexual health professionals' experiences and perceptions of the 2022 mpox outbreak in the UK. BMJ Open 2024; 14:e080250. [PMID: 38216201 PMCID: PMC10806624 DOI: 10.1136/bmjopen-2023-080250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Accepted: 12/15/2023] [Indexed: 01/14/2024] Open
Abstract
OBJECTIVE To understand the experiences and perceptions of sexual health professionals responding to the May 2022 mpox outbreak in the UK. DESIGN Cross-sectional, anonymous, online survey collecting quantitative and qualitative data. Convenience sample recruited via an international network of sexual health and HIV clinicians responding to mpox and promoted through clinical associations and social media. Survey domains included: clinical workload; preparedness, support, and training; safety at work; vaccination; and well-being. Qualitative descriptive analysis of open-text responses was conducted to support interpretation of the quantitative data. PARTICIPANTS Participants who were employed as sexual health professionals in the UK and had direct clinical experience of mpox were included in the analysis. The survey was completed between 11 August and 31 October 2022 by 139 respondents, the majority of whom were doctors (72.7%), cis-female (70.5%) and White (78.4%). RESULTS 70.3% reported that they were required to respond to mpox in addition to their existing clinical responsibilities, with 46.8% working longer hours as a result. In the open-text data, respondents highlighted that workload pressures were exacerbated by a lack of additional funding for mpox, pre-existing pressures on sexual health services, and unrealistic expectations around capacity. 67.6% of respondents reported experiencing negative emotional impact due to their mpox work, with stress (59.0%), fatigue (43.2%) and anxiety (36.0%) being the most common symptoms. 35.8% stated that they were less likely to remain in their profession because of their experiences during the mpox outbreak. In the open-text data, these feelings were ascribed to post-COVID exhaustion, understaffing and frustration among some participants at the handling of the mpox response. CONCLUSIONS These findings indicate that sexual health services require increased funding and resources, along with evidence-based well-being interventions, to support sexual health professionals' outbreak preparedness and recovery.
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Affiliation(s)
- Rosalie Hayes
- SHARE Collaborative, Wolfson Institute of Population Health, Queen Mary University of London, London, UK
| | - Francesca Dakin
- Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
| | - Melanie Smuk
- SHARE Collaborative, Blizard Institute, Queen Mary University of London, London, UK
| | - Sara Paparini
- SHARE Collaborative, Wolfson Institute of Population Health, Queen Mary University of London, London, UK
| | - Vanessa Apea
- SHARE Collaborative, Wolfson Institute of Population Health, Queen Mary University of London, London, UK
- Department of Infection and Immunity, Barts Health NHS Trust, London, UK
| | - Claire Dewsnap
- Sexual Health, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
- The University of Sheffield, Sheffield, UK
| | - L Waters
- Mortimer Market Centre, Central and North West London NHS Foundation Trust, London, UK
- Institute for Global Health, University College London, London, UK
| | - Jane Anderson
- SHARE Collaborative, Wolfson Institute of Population Health, Queen Mary University of London, London, UK
- Department of Infection and Immunity, Barts Health NHS Trust, London, UK
| | - Chloe M Orkin
- SHARE Collaborative, Blizard Institute, Queen Mary University of London, London, UK
- Department of Infection and Immunity, Barts Health NHS Trust, London, UK
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Spencer A, Nicholls I, Onianwa O, Furneaux J, Grieves J, Pottage T, Gould S, Fletcher T, Dunning J, Bennett AM, Atkinson B. Mpox virus DNA contamination can still be detected by qPCR analysis after autoclaving. J Hosp Infect 2023; 139:217-219. [PMID: 37459916 DOI: 10.1016/j.jhin.2023.07.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Accepted: 07/13/2023] [Indexed: 08/13/2023]
Affiliation(s)
- A Spencer
- Diagnostics and Pathogen Characterisation, UK Health Security Agency, Porton Down, Salisbury, UK.
| | - I Nicholls
- Diagnostics and Pathogen Characterisation, UK Health Security Agency, Porton Down, Salisbury, UK
| | - O Onianwa
- Diagnostics and Pathogen Characterisation, UK Health Security Agency, Porton Down, Salisbury, UK
| | - J Furneaux
- Rare and Imported Pathogens Laboratory, UK Health Security Agency, Porton Down, Salisbury, UK
| | - J Grieves
- Diagnostics and Pathogen Characterisation, UK Health Security Agency, Porton Down, Salisbury, UK
| | - T Pottage
- Diagnostics and Pathogen Characterisation, UK Health Security Agency, Porton Down, Salisbury, UK
| | - S Gould
- Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK
| | - T Fletcher
- Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK
| | - J Dunning
- NIHR Health Protection Research Unit in Emerging and Zoonotic Infections, Pandemic Sciences Institute, University of Oxford, Oxford, UK
| | - A M Bennett
- Diagnostics and Pathogen Characterisation, UK Health Security Agency, Porton Down, Salisbury, UK
| | - B Atkinson
- Diagnostics and Pathogen Characterisation, UK Health Security Agency, Porton Down, Salisbury, UK
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3
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Saied AA. Mpox virus Clade IIb detection in the air. J Med Virol 2023; 95:e28775. [PMID: 37212310 DOI: 10.1002/jmv.28775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 04/17/2023] [Accepted: 04/22/2023] [Indexed: 05/23/2023]
Abstract
Mpox is a viral zoonotic disease endemic in Central and West Africa that is caused by the Mpox virus, which belongs to the Orthopoxvirus genus and Poxviridae family. The clinical manifestations of mpox infection are milder than those of smallpox, and the incubation time of mpox varies from 5 to 21 days. Since May 2022, the mpox outbreak (formerly known as monkeypox) has suddenly and unexpectedly spread in non-endemic countries, suggesting that there may have been some undetected transmissions. Based on molecular analysis, there are two major genetic clades that represent the mpox virus: Clade I (formerly the Congo Basin clade OR the Central African clade) and Clade II (formerly the West African clade). It is believed that people who are asymptomatic or paucisymptomatic may spread the mpox virus. Infectious viruses cannot be distinguished by PCR testing; therefore, virus culture should be carried out. Recent evidence regarding the detection of the mpox virus (Clade IIb) in air samples collected from the patient's environment during the 2022 mpox outbreak was reviewed. Further studies are needed to evaluate the extent to which the presence of mpox virus DNA in the air could affect immunocompromised patients in healthcare facilities, and further epidemiological studies are crucial, especially in Africa.
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Affiliation(s)
- AbdulRahman A Saied
- National Food Safety Authority (NFSA), Aswan Branch, Aswan, Egypt
- Ministry of Tourism and Antiquities, Aswan Office, Aswan, Egypt
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Sahay RR, Relhan V, Shete AM, Patil DY, Kumar LP, Kaur A, Majumdar T, Agarwal D, Gawande P, Lalmuanpuii G, Yemul J, Bahadur A, Vedpathak P, Guglani A, Mr PG, Mali D, Dighe H, Sarkale P, Kumar A, Jain R, Sahoo B, Kumar S, Yadav PD. Persistence of infectious monkey pox virus on the surfaces of isolation ward in a hospital setting, India. J Hosp Infect 2023:S0195-6701(23)00137-8. [PMID: 37120071 PMCID: PMC10133095 DOI: 10.1016/j.jhin.2023.03.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 03/01/2023] [Indexed: 05/01/2023]
Affiliation(s)
- Rima R Sahay
- Indian Council of Medical Research-National Institute of Virology, Pune, Maharashtra, India, Pin-411021
| | - Vineet Relhan
- Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India, Pin-110002
| | - Anita M Shete
- Indian Council of Medical Research-National Institute of Virology, Pune, Maharashtra, India, Pin-411021
| | - Deepak Y Patil
- Indian Council of Medical Research-National Institute of Virology, Pune, Maharashtra, India, Pin-411021
| | - Lekshmi P Kumar
- Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India, Pin-110002
| | - Aneet Kaur
- Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India, Pin-110002
| | - Triparna Majumdar
- Indian Council of Medical Research-National Institute of Virology, Pune, Maharashtra, India, Pin-411021
| | - Deeksha Agarwal
- Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India, Pin-110002
| | - Pranita Gawande
- Indian Council of Medical Research-National Institute of Virology, Pune, Maharashtra, India, Pin-411021
| | - Gaby Lalmuanpuii
- Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India, Pin-110002
| | - Jyoti Yemul
- Indian Council of Medical Research-National Institute of Virology, Pune, Maharashtra, India, Pin-411021
| | - Amar Bahadur
- Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India, Pin-110002
| | - Pratiksha Vedpathak
- Indian Council of Medical Research-National Institute of Virology, Pune, Maharashtra, India, Pin-411021
| | - Aditi Guglani
- Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India, Pin-110002
| | - Pavani Gowda Mr
- Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India, Pin-110002
| | - Deepak Mali
- Indian Council of Medical Research-National Institute of Virology, Pune, Maharashtra, India, Pin-411021
| | - Hitesh Dighe
- Indian Council of Medical Research-National Institute of Virology, Pune, Maharashtra, India, Pin-411021
| | - Prasad Sarkale
- Indian Council of Medical Research-National Institute of Virology, Pune, Maharashtra, India, Pin-411021
| | - Abhinav Kumar
- Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India, Pin-110002
| | - Rajlaxmi Jain
- Indian Council of Medical Research-National Institute of Virology, Pune, Maharashtra, India, Pin-411021
| | - Bijaylaxmi Sahoo
- Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India, Pin-110002
| | - Suresh Kumar
- Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India, Pin-110002
| | - Pragya D Yadav
- Indian Council of Medical Research-National Institute of Virology, Pune, Maharashtra, India, Pin-411021.
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